No two clients begin at the same level pre- or postoperatively when starting a Pilates routine. Each client has a varying ability to concentrate, visualize, feel the movement working from the correct source, and engage the core.

Pilates for Hip and Knee Syndromes and Arthroplasties provides foundational guidelines and protocols for the use of Pilates in increasing strength, balance, flexibility, and range of motion with pre- and postoperative knee and hip syndromes and arthroplasties.

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As hip and knee conditions continue to become more prevalent, so does the demand for a rapid and complete return to function in these lower-extremity joints. Pilates for Hip and Knee Syndromes and Arthroplasties provides foundational guidelines and protocols—with specific modifications—for the use of Pilates in increasing core strength, balance, and flexibility and restoring function and range of motion with pre- and postoperative knee and hip syndromes and arthroplasties. Written for Pilates instructors, manual therapists, personal trainers, and physicians, this text introduces Pilates as a safe fitness and rehabilitation tool for individuals with knee or hip conditions.

Developed over 90 years ago by Joseph H. Pilates, the Pilates method is a unique system of stretching and strengthening exercises that have been shown to tone muscles and improve posture, flexibility, range of motion, and balance. Low impact and completely adaptable according to specific syndromes or fitness level, Pilates exercises are well suited for use in pre- and postoperative exercise regimens, and Pilates mat exercises can be easily incorporated into home programs.

Pilates for Hip and Knee Syndromes and Arthroplasties begins with a review of the anatomy of the hip and knee, a discussion of the most common conditions, and an overview of nonoperative and operative treatments. Building this background information will help readers gain a better understanding of why certain exercises are applied at various points in the rehabilitation time line.

The next portion of the text is dedicated to specific Pilates techniques and mat exercises and includes baseline recommendations for range of motion and both pre- and postoperative modifications for the knee and hip. Reference tables outline classical Pilates mat exercises and place them in specific rehabilitation time lines from six weeks to three months, three months to six months, and beyond six months postoperative. More than 600 photos clearly demonstrate the exercises and feature detailed instructions for correct execution of the techniques. To assist with clients who have never performed Pilates exercises or are in the very early stages after surgery, pre-Pilates exercises are also presented to help build core strength and range of motion. Case scenarios and sample Pilates mat programs provide additional guidelines on the correct application of the exercises, while an exercise finder located in the front of the text quickly directs readers to the appropriate exercises for each postop time line.

As a bonus, a web resource included with the text provides fully trained Pilates instructors with guidelines on using the Pilates equipment to develop programs for clients with hip or knee conditions. Instructors will learn what equipment is appropriate to incorporate at the optimal time for rehabilitation. In addition, a resource finder is included to assist readers in finding a qualified Pilates training program and a qualified Pilates instructor.

Author Beth Kaplanek also has a personal website detailing current workshops/activities and other resources: www.BethKaplanek.com.

Contents

Part I. Hip and Knee Anatomy, Syndromes and Treatments

Chapter 1. The Hip
This chapter provides information on the anatomy of the hip, hip syndromes, and operative and nonoperative treatments. This background knowledge will help you as you’re creating Pilates routines for clients with hip issues.

Chapter 2. The Knee
While chapter 1 discussed anatomy, syndromes, and treatments for the hip, this chapter covers the same information for the knee. A solid understanding of issues related to the knee will help you create a better Pilates routine for your clients.

Part II. Pilates Mat Exercises

Chapter 3. Setting the Foundation
Before you can tailor a Pilates routine for your clients with hip or knee conditions, it is important to know how to incorporate range of motion guidelines for a syndrome or arthroplasty. This chapter shows you how the classical Pilates mat with the guidelines incorporated sets the foundation for the exercises that follow. In addition, a selective, comprehensive set of pre-Pilates exercises are included in this chapter. It also gives you tips on getting a client started with a Pilates routine.

Chapter 4. Pilates Mat Exercises for Six Weeks to Three Months Postoperative
Now that you have a thorough understanding of the foundation of the material, you can begin to tailor exercises for your clients with hip and knee conditions. In this chapter, you’ll find Pilates mat exercises designed for a timeline of six weeks to three months postoperative. Selections from these variations with options are appropriately chosen for preoperative or syndrome programs.

Chapter 5. Pilates Mat Exercises for Three Months to Six Months and Six Months and Beyond
As clients continue on their postoperative journey, the intensity of their Pilates regimen continues to change as well. Here, you’ll find Pilates exercises that are appropriate for clients who are three to six months and beyond in their postoperative recovery. Again, selections from these variations with options are appropriately chosen for a client with a syndrome.

Chapter 6. Pilates Mat Side Kick Series
Side kick series exercises are extremely important for clients who are recovering from knee or hip issues. This chapter provides exercises and variations that can be used at all stages of preoperative and postoperative recovery to help build strength, improve flexibility, and increase range of motion.

Chapter 7. Pilates Mat Program Sequences
It can be overwhelming to try to figure out how to put together a Pilates routine for your clients. This chapter gives you several case study examples that show you how you can create a Pilates routine using pre-Pilates, Pilates, and side kick series exercises. Page numbers quickly direct you to where a particular exercise is discussed in full detail.

Audiences

A reference for Pilates instructors and physical therapists working with clients with hip and knee conditions; also for athletic trainers, personal trainers, fitness specialists, and orthopedists looking for suitable activities for patients with hip and knee conditions.

Beth A. Kaplanek, RN, BSN, is a Pilates instructor and practitioner of Pilates for rehabilitation at The Pilates Center of Long Island in Huntington, New York. She started her career in fitness in 1998, teaching aerobics and personal training. Kaplanek served for 20 years as a registered nurse working in various capacities in emergency room care, operating room care, intensive care, drug counseling and rehabilitation, and hospice care.

After undergoing a hip replacement in 2001, Kaplanek began using Pilates as a form of low-impact exercise and strength and flexibility training. Encouraged by her physician’s positive prognosis, she began researching how the Pilates method could be modified and used by people with hip or knee conditions and replacements. Kaplanek’s research with Dr. Levine and Dr. Jaffe regarding Pilates as a form of postoperative rehabilitation has been published in the Bulletin of the NYU Hospital for Joint Diseases and Clinical Orthopaedics and Related Research.

Kaplanek resides in Lloyd Harbor, New York, and Coconut Grove, Florida. In her free time she volunteers her time to a national non-profit organization lecturing and writing on issues related to AD/HD and parenting. She enjoys designing jewelry, hiking, exercising, and attending vintage car road rallies.

Brett R. Levine, MD, is board certified in orthopaedic surgery with a subspecialty in adult reconstruction. He is a physician and assistant professor at Rush University Medical Center in Chicago, where he specializes in complex revision hip and knee reconstruction. He also serves as clinical instructor and research coordinator for residents, fellows, and medical students.

His areas of research interest include porous biomaterials, revision hip and knee techniques and technology, metal ion levels and hypersensitivity in metal–metal bearings, cementless TKA, and digital templating accuracy. He serves on editorial boards of Hospital Physician, Journal of Clinical Rehabilitative Tissue Engineering Research, Clinical Orthopaedics and Related Research, Orthopedics, Journal of Knee Surgery, ACTA Biomaterial, and the Bulletin of the NYU Hospital for Joint Diseases. He is a member of the Mid-America Orthopaedic Association and a fellow of the American Academy of Orthopaedic Surgeons. Levine also serves as chair of the Adult Reconstruction Instructional Course Subcommittee for the American Academy of Orthopaedic Surgeons and is the editor for the Rush Year in Review.

Levine resides with his wife, Kari, and their two children in Elmhurst, Illinois. In his free time he enjoys reading, repairing and restoring classic automobiles, and staying physically active through exercise and sports.

William L. Jaffe, MD, is a clinical professor and the vice chairman of the department of orthopaedic surgery at New York University Hospital for Joint Diseases in New York City. Jaffe is also an attending orthopaedic surgeon at Bellevue Hospital Center in New York.

Jaffe has served as editor in chief of the Bulletin of the Hospital for Joint Diseases Orthopaedic Institute and editor for the Mediguide to Orthopaedics. He serves on the editorial boards for the Journal of Arthroplasty and Orthopaedic Section eMedicine as well as the medical advisory board for Osteonics Corporation in Allendale, New Jersey. He is a consultant in orthopaedic surgery for the University Grants Committee of the Research Grants Council for the Hong Kong government.

Jaffe is a fellow of the American College of Surgeons and the American Academy of Orthopaedic Surgeons. He holds membership in the American Orthopaedic Association, New York State Medical Society, New York County Medical Society, New York Academy of Medicine, Low Friction Arthroplasty Society, and Eastern Orthopaedic Association. In both 1992 and 1995, Jaffe was the recipient of Professor of the Year award from the Hospital for Joint Diseases Orthopaedic Residency Program. Jaffe was chosen as one of the 50 Most Positive Doctors in America in 1996. He resides in New York City.

"This is a first-rate book. Many of our joint replacement patients are now looking for better quality and higher intensity postoperative rehabilitation. This book is the ticket."

-Doody's Book Review

“The specifics and their applications make this an outstanding survey for any Pilates user who wants to apply specific techniques to specific knee and hip recovery patterns, making for a top medical library reference.”